Pain after out-of-hospital cardiac arrest and resuscitation
Official title: Characterizing and Quantifying Pain After Cardiac Arrest and Resuscitation: Insights From the PAINCARE Substudy of the STEPCARE Trial
Run by Region Skane · NCT07564778 · Data updated 2026-11-12
This study will see if how pain is measured and treated in adults brought back after out-of-hospital cardiac arrest relates to delirium, ICU resource use, and longer-term recovery.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | Region Skane Academic / other |
| Locations | 3 sites (Halmstad and 2 other locations) |
| Status | Recruiting |
| Started | October 15, 2023 |
| Main results expected | May 19, 2026 |
| Study ends | October 31, 2028 |
| Registry record updated | May 14, 2026 |
| Trial ID | NCT07564778 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) who suffered an out-of-hospital cardiac arrest, achieved return of spontaneous circulation within the enrollment window, remain comatose on ICU admission, and are treated at a participating center are the intended participants.
✕Probably not a fit
Patients who are awake/able to follow commands, those with traumatic or hemorrhagic causes of arrest, those already on ECMO, pregnant patients, or those with limitations of care are unlikely to be eligible or to benefit from this observational substudy.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
PAINCARE is an observational substudy embedded within the international STEPCARE trial that collects detailed data on pain intensity, pain assessments, and analgesic use in adult patients resuscitated after out-of-hospital cardiac arrest and treated in the ICU. The study follows patients from early post-return-of-spontaneous-circulation care in the ICU and links pain and analgesic data with sedation, delirium, ICU resource use, early neurological recovery, and patient-reported long-term outcomes. No experimental interventions are given; data are collected prospectively across participating centers in Sweden. The goal is to map current pain management practices in this population and explore associations between pain care and short- and long-term outcomes.
Why it matters
Potential benefit: If successful, the findings could improve recognition and treatment of pain after cardiac arrest and help reduce delirium and improve functional recovery and quality of life.
How similar studies have gone: There is prior ICU literature linking pain and outcomes and some data on analgesia and delirium, but focused, prospective pain research specifically in post-cardiac arrest patients is limited and relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Out-of-hospital cardiac arrest * Adult, age 18 years or older * Spontaneous circulation without chest compressions for at least 20 minutes * Comatose, defined as not obeying verbal commands * Enrolled within 4 hours after return of spontaneous circulation Exclusion Criteria: * Restrictions or limitations of care * On extracorporeal membrane oxygenation before randomization * Pregnancy * Previously randomized in the STEPCARE trial * Trauma or hemorrhage as the presumed cause of arrest * Suspected or confirmed intracranial hemorrhage
Where it's running
-
Dep. of Intensive Care Halmstad Lasarett
Halmstad, Sweden Recruiting -
Department of Intensive Care, Skåne University Hospital
Malmö, Sweden Recruiting -
Dep. of Intensive Care, Norrlands Universitets Sjukhus
Umeå, Sweden Recruiting
Study contacts
- Principal investigator: Joachim P Düring, MD, PhD — Lunds Universitet, Institutionen för kliniska vetenskaper, Lund, Anesthesia and Intensive Care, Skåne University Hospital , Malmö, Sweden
- Study coordinator: Joachim P Düring, MD, PhD
- Email: joachim.during@med.lu.se
- Phone: +46705917599
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.